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Chief Complaint: Patient at ER has 2 puncture wounds. (Background…
Chief Complaint: Patient at ER has 2 puncture wounds.
Background Information
Anterior- Front
Posterior Back
Superior Up Above
Inferior Below
Promixal- Closer to point of attachment
Distal farther from point of attachment
Body has 2 regions axil or appendicular
axil- head neck and trunk
appendicular arm and legs the limbs
2 Cavities dorsal or ventral
Doral- brain and spinal cord
brain in cranial cavity
spinal cord in vertebral cavity
ventral- thoracic region and abdominal area
thoracic cavity has lungs and heart
heart in pericardial cavity
also mediastinum everything else but lungs
2 layer viscera and parietal
viscera pericardium covers heart directly
parietal pericardium covers the walls
lungs in pleural cavity for each
visceral pleural membrane covers lungs
parietal pleural membraneux covers the walls
abdominal area is abdominal or pelvic
pelvic is anus rectum and urinary
abdominal is stomach liver intestines every thing else
viscera peritoneum covers organs directly
parietal peritoneum covers the walls
Abdominal Quadrants 4
RUQ LUQ RLQ LLQ
Right/Left Upper quadrant then Left/Right Lower Quadrants
1 more item...
physiological processes
breath in oxygen let out CO2 by respiratory
cardiovascular system has RBC carrying oxygen thru body
gets nutrients from digestive system
eat food digestive organs digest and aborption of nutrients
releases nutrients to the blood
nutrients travel the body through blood
gives the body energy from carbs cellular currency
hypothalamus control breathing
Upstream Possible Direct Causes: Trauma
Upstream Possible Indirect Causes: Lifestyle
Don't have patient history
Could be accident at work, stabbing victim, or freak accident, or car accident
2 puncture wounds axillary and epigastric regions
Puncture Wound Right Anterior Inferior Axillary Region
anterior on front of body
inferior below the axillary area
axillary region arm pit area
close to RUQ and Hypochondriac regions
wound to thoracic cavity
possible damage to pleural membranes
fluid in lungs possible
collapsed lung or infection
pleural membrane is double
visceral, the fluid cavity, then parietal pleural
damage to skin, lungs, ribs
systems to worry integumentary, skeletal, muscular, respiratory, and cardiovascular
cardiovascular: blood loss, heart working harder
decreased blood volume
issues with blood pressure and heart rate
might bleed out
possible infection risk
blood cells carry oxygen & nutrient to heart
respiratory system brings in oxygen takes out C02
Difficulty breathing lack of oxygen
muscles near thoracic are could damage difficulty moving
damage to epidermis, blood vessels.
skin protect boundaries
ventral cavity-thoracic
ribs near by might be broken/fracture
skeletal system produces blood cells
to carry blood and nutrient with cardiovascular
costal cartilage hyaline cartilage
might hit pericardial cavity
within mediastinum houses the heart
Puncture wound Epigastric region
epigastric above umbilical region
abdominal region nonpelvic
ventral cavity
membrans visceral and parietal peritoneum
epigastric region
half Right upper quad half left upper quadrant
digestive system damage to stomach liver
not aborption of nutrients or bleeding
potiental infection or bleeding out
stab to aorta abdominal bad
axillary artery or subclavian artery damage
Cardiovascular System: blood supply loss,
lymphatic system helps filter blood and fluids
stomach contents emptying into abdominal gastric enzymes dissolving this region
Endocrine System issues pancreas releases insulin
low sugar tired dizzy
between the hypochondriac regions
has stomach, pancreas, and liver
stomach and liver is digestive system
endocrine system
pancreas release insulin and glucagon for blood sugar levels
pancreas